Richard Felix Wittock III, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

2002003866 Issued in MO

Practice address

1011 Bowles Avenue
Suite 123
Fenton, MO 63026

Phone

(636) 717-1100

Fax

(636) 717-1113

NPI assigned

Jul 31, 2006

Last updated

Sep 17, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McPherson Medical and Diagnostic LLCGroup PAC ID 5698773539, 88 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• SSM St Clare Health Center Hospital, Fenton, MO, CCN 260081

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2451/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McPherson Medical & Diagnostic, LLC

  dba Malden Family Clinic and Diagnostic

  • Clinic/Center
  • Malden, MO
  • NPI 1003407883
  Medicare reassignment Care Compare group NPD
• Ankle and Foot Institute of Missouri P.C.

  • Podiatrist
  • Fenton, MO
  • NPI 1831335819
  Authorized official Same address or phone
• McPherson Medical & Diagnostic LLC

  dba American Medical Missouri

  • Clinic/Center
  • Fenton, MO
  • NPI 1992488852
  NPD
• McPherson Medical & Diagnostic, LLC

  • Family Medicine Physician
  • Kennett, MO
  • NPI 1124679774
  NPD
• Foot Healers Holdings - St. Louis, LLC

  dba Foot Healers

  • Podiatrist
  • Saint Louis, MO
  • NPI 1003152273
  NPD (past)
• Foot Healers Holdings - St. Louis, LLC

  dba Foot Healers

  • Podiatrist
  • Chesterfield, MO
  • NPI 1053326892
  NPD (past)
• McPherson Medical & Diagnostic, LLC

  • Family Medicine Physician
  • Steele, MO
  • NPI 1164440806
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• SSM Health Care St. Louis

  dba SSM Health St. Clare Hospital - Fenton

  • General Acute Care Hospital
  • Fenton, MO
  • NPI 1851496152
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1215943105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 BOWLES AVENUE",
            "address_2": "SUITE 123",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "63026",
            "telephone_number": "636-717-1100",
            "fax_number": "636-717-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BOWLES AVENUE",
            "address_2": "SUITE 123",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "63026",
            "telephone_number": "636-717-1100",
            "fax_number": "636-717-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTOCK",
        "first_name": "RICHARD",
        "middle_name": "FELIX",
        "name_suffix": "III",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "2002003866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shea Aaron Wilson, DMD
• Daniel Paul Windsor, M.D.
• Elyse Nicole Wingbermuehle, OTR/L
• Tracy Lynn Winkelmann, FNP
• Rebekah A Witte, PT, DPT
• Carrie Wolf, PT
• Laura K Wolters, PT, DPT
• Nirandon Wongsurawat, MD
• Steven Michael Workman, D.M.D.
• Wuca-Fenton Pediatrics, LLC

• Podiatrist in Fenton, MO
• Providers in Fenton, MO by specialty
• Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.